Customer Pre-register for Appomattox Broadband

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1.How did you hear about Firefly?

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2.Customer Name

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3.Service Address

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4.Contact Phone Number - Contractor will contact you on this number.

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5.Email Address

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6.Which offering are you interested in?

Firefly Light - 100 Mbps internet - $49.99

Firefly Light Plus - 100 Mbps (49.99) with phone ($29.99)

Firefly Flash - 1 Gbps internet $79.99

Firefly Flash Plus - 1 Gbps ($79.99) with phone ($29.99)

Firefly Voice - $34.99

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7. I am pre-registering and understand there is no payment required at this time. I will be contacted at the email address above at a later date to complete my order online, and schedule my installation. The $100 savings on Free Installation is a Limited Time Offer, valid for 30 days after I am notified by email of drop construction completion. After 30 days, the normal $100 Standard Installation fee will apply for Firefly service activation.